Suggest treatment for severe pain at the back of the head
Thank you in advance for you time and efforts XXXXXXX XXXXXXX
I read your message carefully and understood your concern.
I see you have had migraines before. Treatment that the doctor recently gave you is all about treating the migraines.
Fioricet is a combination of some pain relievers and it is used to treat the tension headaches that are mostly caused by muscle contractions. Zanaflex is used to relax the muscles and Topomax is a drug that helps in preventing migraine attacks but does not relief the pain once the migraine crisis has already begun.
The fact that these drugs are not helping you means that the cause is hidden somewhere else not in any migraine episode.
You have pain only on the left side of your head in the back with radiates down in the neck and all around of your left side of head including the left ear, face, temple, and eye. Also, you have the sense that some mass is beneath your skull but its is not palpable. You mention also a large vessel that starts on your back and stops on the top of your head.
It is very important to understand what makes your pain worse during the day. If the movement of your head or neck increases the pain this means that the problem maybe it is not only in the head.
First thing, that comes in my mind, is cervical headaches which are caused by the pathologic developments in the neck tissues or cervical spine. The result is upper neck pain referred to temporal and facial regions. The main cause is neck disorders or lesions.
It needs to be identified properly and treated early because the symptoms aggravate as the time passes and the painkiller drugs do nothing to correct the cause.
A detailed neck examination is quite necessary followed by a CT scan and if necessary an MRI must be done to take a better look to soft tissues. There are other causes to take into account as well like disorders of blood vessels (arteritis) and infection. An aneurysm needs to be evaluated as it can be dangerous.
If treated properly, everything normalizes within 3 months. First, a neurologist must see you and do a neurological examination which consists in testing some moves and reflexes than you will go for radiological examination.
I hope this is helpful for you.
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